Beach Glass Psychology Llc

LBN: Beach Glass Psychology Llc
Beach Glass Psychology Llc is an health care organization with primary practice located at 37000 Center Ridge Road Suite 3 Lower Level, North Ridgeville OH 44039-2804. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Adult Development & Aging, Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Counseling. Behavioral Health & Social Service Providers / Clinical is the primary health care specialty. Beach Glass Psychology Llc can be contacted via phone (440) 570-5458, or through Yezzi-Shareef, Ann Marie via phone (440) 570-5458.

Contact Information

Primary practice address
37000 Center Ridge Road Suite 3 Lower Level North Ridgeville OH 44039-2804
Phone: (440) 570-5458
Fax: (440) 628-2422
Website:
Map and Directions
Authorized official contact:
Name: Yezzi-Shareef, Ann Marie PHD
Phone: (440) 570-5458

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X
Behavioral Health & Social Service Providers / Counseling 103TC1900X

Profile Details

NPI number 1891348405
LBN Legal business name Beach Glass Psychology Llc
DBA Doing business as
Authorized official Yezzi-Shareef, Ann Marie PHD
Entity Organization
Organization subpart 1 No
Enumeration date Jul 23rd, 2019
Last updated Feb 23rd, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1891348405 NPPES
Ohio MEDICAID 0247177

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